Annual Programme of Work 2005 - Ministry of Health

More documents

Recommendations

Info

Improving Maternal and Child Health Child Health Services The 2003 Ghana Demographic and Health Survey (GDHS) reported a lack of improvement in child survival and development in Ghana. Against the expected trends established since 1988, the 2003 GDHS reported increases in Infant Mortality Rates (IMR) from 57 per 1000 live births in 1998 to 64 per 1000 live births in 2003. Similarly, Under Five Mortality Rate (U5MR) increased from 108 per 1000 live births in 1998 to 111 per 1000 live births in 2003. If this trend continues, the 5YPOW target of 50 per 100 live births for IMR and 95 per 1000 live births for U5MR in 2006 will not be achieved. Similarly, the Millennium Development Goal (MDG) of reducing CMR by two-thirds of 1990 levels by 2015 will also not be achieved. In spite of the worsening IMR and CMR at the national level, the 2003 GDHS also showed significant reduction in IMR and CMR in Upper East regions where the Accelerated Child Survival and Development Programme is being implemented in all districts. In the Upper East region, CMR dropped from 155.8 in 1998 to 79 in 2003 while IMR dropped from 81.5 per 100 live births in 1998 to 33 per 1000 live births. This picture gives hope that with improved packaging, delivery and targeting of child health interventions, the worsening trends in child survival and development in the country may be reversed and indeed the MDGs may be achieved. The implementation of the complete Integrated Management of Childhood Illnesses (IMCI) would be instrumental in this regard. IMCI has been established as a costeffective approach to improving child survival and development. Ghana started implementing IMCI in November 1999 after baseline survey in 1998. Nevertheless, the pace of implementation of the IMCI has been rather slow. Currently 62 out of the 138 districts have at least one health personnel trained in IMCI and only 20 districts are implementing the full IMCI package including community IMCI. The lessons in implementation of ACSD and the constraints to implementing IMCI will be documented to guide scaling up interventions for improving child survival and development. The priority activities for 2005 would include: • Document and translate the lessons from the packaging and provision of Child Health interventions in the Upper East region into a national level strategy • Evaluate constraints to the scaling up IMCI • Scale up implementation of the complete IMCI package including community IMCI from 20 districts to all districts • Support all pre-service training institutions to integrate IMCI into their curricula • Organize Child health Week Expected Output/Results 7
• National strategic plan for packaging and provision of child health interventions developed in the light of lessons from Upper East • 138 districts implementing complete IMCI package EPI including Polio Eradication and Measles Elimination The Expanded Programme on immunization (EPI) is a key strategy for improving child survival and development. EPI coverage in the country has been very encouraging even though a lot still remains to be done. In 2003, no district reported Penta3 coverage of less than 50%, 57% of districts reported penta 3 coverage of between 50 and 80%, and 53% of districts reported over 80% coverage. The high levels of coverage of up to 100% coverage recorded in NIDs combined with improved surveillance of Acid Flaccid Paralysis (AFP) and synchronization of National Immunization Days (NID) implementation between Ghana and neighbouring countries should enable us reverse the gains in polio eradication efforts. The thrust for the EPI programme is to sustain the high levels of immunization coverage, including sustaining NIDs, and targeting services to hard–to–reach areas. Recent initiatives aimed at improving quality of data through data quality audits and coverage surveys will also be sustained. The priority activities would be to: • Undertake four rounds of NIDs as part of the international programme to eradiate polio • Support micro-planning exercise aimed at defining and targeting hard to reach areas • Provide boat services to hard to reach and over seas communities • Provide technical support to relatively poor performing districts to improve their immunization coverage • Organize Measles and Neonatal Tetanus campaigns • Maintain the AFP surveillance system through improving case detection rates, and timeliness and adequacy of stool specimen • Revise and test EPI indicators to capture progress in hard to reach areas. • Conduct data quality audits and EPI coverage survey. Expected Output/Results • 4 rounds of NIDs implemented with coverage not less than 95% in each NID • 80% coverage for DPT-Hib-Hep3 and OPV3 • No district has penta 3 coverage of less than 60% with at least 60% of districts having coverage more than 80% • At least non-Polio AFP Rate of >1 per 100,000 achieved for all regions • Over 80% of stool specimen of AFP taken in less than 14 days 8
Page 1 and 2: THE GHANA HEALTH SECTOR 2005 PROGRA
Page 3 and 4: M & E MOH MOE MOI MTEF NA NADMO NCD
Page 5 and 6: Major Courage Quashiga Hon Minister
Page 7 and 8: 10. FINANCING THE SECTOR ..........
Page 9 and 10: • Increasing overall financial re
Page 11 and 12: Sector-wide Indicators and Targets
Page 13: 3. PRIORITY HEALTH INTERVENTIONS Th
Page 17 and 18: • Access the availability of EOC
Page 19 and 20: • 1200 HIV/AIDS patients with adv
Page 21 and 22: Guinea worm Eradication Guinea Worm
Page 23 and 24: The major NCDs in Ghana are cardiov
Page 25 and 26: • Providing targeted supplementar
Page 27 and 28: • Modernize all health care facil
Page 29 and 30: • Prepare and disseminate fact sh
Page 31 and 32: 5. INTERSECTORAL COLLLABORATION AND
Page 33 and 34: 7. REGULATION Regulation is a cross
Page 35 and 36: • Expansion of 16 existing traini
Page 37 and 38: 9. ORGANISATION AND MANAGEMENT OF H
Page 39 and 40: adversely on implementation at dist
Page 41 and 42: • Implementation guidelines for r
Page 43 and 44: Development Partners All activities
Page 45 and 46: Table 2: 2005 resource envelope by
Page 47 and 48: Internally Generated Funds and Nati
Page 49 and 50: Support to Health Summit 0.5 PPME,M
Page 51 and 52: Resource Gap The total resource gap
Page 53 and 54: 5 Construction and Completion of Ph
Page 55 and 56: 2 Upgrade of Dodowa Hospital 3 Cons
Page 57 and 58: 3 Completion of Health Centre at Bo
Page 59 and 60: 1 Rehabilitation of 3 no. Staff Fla
Page 61 and 62: 1 Rehabilitation of Health Centre a
Page 63 and 64: 3 CONSTRUCTION OF BAWIESIBELLE HEAL
Page 65 and 66:
MINISTRY OF HEALTH - M NATIONAL 1 M
Page 67 and 68:
6 Completion of Works at Navrongo C
Page 69 and 70:
26 Construction of Classroom and Ho
Page 71 and 72:
3 Completion of Nurses' Flats 01.10
Page 73 and 74:
Secretariat TOTAL 77,584,135,710 .5
Page 75 and 76:
2 3 4 5 6 7 8 GHANA HEALTH SERVICE
Page 77 and 78:
Clinical Care ENT 1 OVERSEAS L 20,0
Page 79 and 80:
Management Quality Assurance 2 OVER
Page 81 and 82:
ANNEX 3: PROCUREMENT PLAN Procureme
Page 84 and 85:
ANNEX 4: LOGFRAME FOR PROGRAMME IMP
Page 86 and 87:
adopted curriculum for deliveries
Page 88 and 89:
• New ACT Policy in place • Pro
Page 90 and 91:
• Programme for control of each o
Page 92 and 93:
• 70% bed occupancy rate • Prop
Page 94 and 95:
• ≥6 regions with functional CB
Page 96 and 97:
PERFORMANCE OUTPUTS • Intake into
Page 98 and 99:
COMPONENT: Information Systems Deve
Page 100 and 101:
them to use HSPA as tools for stewa
Page 102 and 103:
EDL • Develop Implementation Guid
show all

Annual Programme of Work 2005 - Ministry of Health

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?